Objective This study examined the feasibility and initial outcome of a time-limited and intensive format of Parent–Child Interaction Therapy (PCIT) for families of young children who have sustained a traumatic brain injury (TBI). Methods The nonrandomized open trial included 15 families with a child aged 2–5 years who had sustained a TBI and displayed clinically elevated levels of externalizing behavior problems. Families received clinic-based PCIT twice per week over an average of 6 weeks, with the exception of two families that received the same intensity and format of PCIT in the home. Results Ten of the 14 families who completed the baseline assessment (71%) completed the intervention and post and follow-up assessments. On average, caregivers completed homework practice on 52% of the days in between sessions. Caregivers reported high acceptability and satisfaction following the intervention, as well as decreases in child externalizing and internalizing behavior problems at the post-assessment and 2-month follow-up. Conclusions Results of this open trial provide preliminary support for the feasibility of a time-limited and intensive format of PCIT for families of young children who have sustained a TBI and have elevated levels of behavior problems. This study highlights a promising intervention approach for improving domains commonly affected by early childhood TBI and preventing the development of more severe and persistent problems.

中文翻译：

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创伤性脑损伤儿童的强化亲子互动治疗：可行性研究

目的 本研究检验了针对遭受创伤性脑损伤 (TBI) 的幼儿家庭采用限时和强化形式的亲子互动治疗 (PCIT) 的可行性和初步结果。方法 非随机开放试验包括 15 个家庭，他们有一个 2-5 岁的儿童，他们患有 TBI，并表现出临床升高的外化行为问题水平。家庭在平均 6 周内每周接受两次基于诊所的 PCIT，但在家中接受相同强度和形式的 PCIT 的两个家庭除外。结果 完成基线评估的 14 个家庭中有 10 个（71%）完成了干预以及事后和随访评估。平均而言，护理人员在两次会议之间的 52% 天完成了家庭作业练习。护理人员报告说干预后的可接受性和满意度很高，并且在评估后和 2 个月的随访中儿童外化和内化行为问题的减少。结论 本公开试验的结果初步支持了对患有 TBI 和行为问题水平升高的幼儿家庭实施限时和强化形式的 PCIT 的可行性。这项研究强调了一种有前途的干预方法，可以改善通常受儿童早期 TBI 影响的领域，并防止出现更严重和持久的问题。结论 本公开试验的结果初步支持了对患有 TBI 和行为问题水平升高的幼儿家庭实施限时和强化形式的 PCIT 的可行性。这项研究强调了一种有前途的干预方法，可以改善通常受儿童早期 TBI 影响的领域，并防止出现更严重和持久的问题。结论 本公开试验的结果初步支持了对患有 TBI 和行为问题水平升高的幼儿家庭实施限时和强化形式的 PCIT 的可行性。这项研究强调了一种有前途的干预方法，可以改善通常受儿童早期 TBI 影响的领域，并防止出现更严重和持久的问题。